Scouting for Food Event Summary/Patch Order

Scouting for Food Event Summary/Patch Order

Please submit this form by April 25 to order patches and recognize the Girl Scouts who helped with Scouting for Food 2015.
Name:
First
Last
Address:
Street Address
Apt./Ste.
City
State
Postal Code
Phone:
Area Code
Phone Number
Email Address:
Service Unit #:
Troop #:
Number of Adults:
Number of Girls:
Location where food was donated?
Approximate number of hours dedicated to Scouting for Food: (This is the total hours everyone spent multiplied by the number of hours. EXAMPLE: 10 girls and four adults provided six hours=84 hours.)
Number of items collected:
Person to mail patches to:
First
Last
Address to mail patches to:
Street Address
Apt./Ste.
City
State
Postal Code